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Rev Stomatol Chir Maxillofac Chir Orale. 2014 Apr;115(2):105-10. doi: 10.1016/j.revsto.2014.01.002. Epub 2014 Mar 24.

[Bone graft reconstruction for posterior mandibular segment using the formwork technique].

[Article in French]

Author information

1
Service de chirurgie maxillo-faciale et stomatologie du Pr Blanc, centre hospitalier La-Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address: dr.pascualdimitri@gmail.com.
2
13, boulevard Lord-Duveen, 13008 Marseille, France.
3
Service de chirurgie maxillo-faciale et stomatologie du Pr Blanc, centre hospitalier La-Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.

Abstract

INTRODUCTION:

Pre-implant bone graft in posterior mandibular segments is difficult because of masticatory and lingual mechanical constraints, because of the limited bone vascularization, and because of the difficulty to cover it with the mucosa. The formwork technique is especially well adapted to this topography.

TECHNICAL NOTE:

The recipient site is abraded with a drill. Grooves are created to receive and stabilize the grafts. The bone grafts were harvested from the ramus. The thinned cortices are assembled in a formwork and synthesized by mini-plates. The gaps are filled by bone powder collected during bone harvesting.

DISCUSSION:

The bone volume reconstructed with the formwork technique allows anchoring implants more than 8mm long. The proximity of the inferior alveolar nerve does not contra indicate this technique. The formwork size and its positioning on the alveolar crest can be adapted to prosthetic requirements by using osteosynthesis plates. The lateral implant walls are supported by the formwork cortices; the implant apex is anchored on the native alveolar crest. The primary stability of implants is high, and the torque is important. The ramus harvesting decreases operative risks.

KEYWORDS:

Bone grafting; Dental implants; Greffe osseuse; Implants dentaires

PMID:
24674931
DOI:
10.1016/j.revsto.2014.01.002
[Indexed for MEDLINE]

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